Get Self Certification Form For Level Ib Under The Tpdes

Completing the Self Certification Form for Level IB under the TPDES is an essential step for applicants applying pesticides to waters in Texas. This guide provides clear, step-by-step instructions for filling out the form online, ensuring that users with varying levels of experience can navigate the process with confidence.

Follow the steps to accurately complete your self certification form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Operator (Applicant)' section, provide the legal name of the permittee exactly as it appears in official documents. Ensure that you fill in the complete contact information, including phone number, email address, mailing address, internal routing, city, state, country code, and postal code.
3. For the 'Operator type and pesticide category,' identify your operator type by selecting all applicable options related to public or private entities and the pesticide categories relevant to your operations.
4. In the 'Pest Management Area (PMA) Information' section, complete all fields regarding the site name or identifier, counties of location, classified segment number of water bodies, and the name of those receiving water bodies. Select the relevant pesticide use patterns from the available options.
5. For certifications, print your name, title, and ensure your signature is included along with the date of signing. Confirm that you understand the legal requirements and penalties applicable.
6. If necessary, fill out additional PMAs by completing Attachment I for each additional PMA and providing similar information as outlined in the previous step.
7. Once all sections are completed, you can save changes, download a copy, print the form, or share it as needed.

After following these steps, complete your documentation online and ensure compliance with Texas regulations.